Nurse Navigator

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering them toward high-value, cost-conscious providers while documenting care plans in SFH's app and staying HIPAA-compliant. It calls for an active WI RN license, 2+ years of clinical experience, and someone who thrives in a fast-moving startup. Self Fund Health is a Wisconsin startup helping Midwest employers do something radical: buy healthcare instead of health insurance. For companies with 50+ employees, we pair transparent, upfront pricing with a clinical team of Nurse Navigators who guide members to high-value care — bending the cost curve in a state that ranks among the highest in the country for healthcare costs. We're a small, fast-moving team where everyone has a real hand in rebuilding the health plan from the ground up, and where the work directly lowers costs for local businesses while improving care for the people who count on them. Position Overview We are in search of a Nurse Navigator to join our dynamic healthcare team within the innovative setting of a startup. In this role, the Nurse Navigator will operate primarily in a remote capacity, offering indispensable assistance to patients as they navigate intricate healthcare systems. We require a candidate with robust clinical expertise, exceptional communication abilities, and a heartfelt dedication to patient well-being. Acting as a guiding beacon through their healthcare journey, the Nurse Navigator holds a pivotal position in ensuring patients receive the precise care and support they require. By championing patient advocacy and fostering a culture of cost-conscious care, the Nurse Navigator becomes a catalyst for positive transformation. This transformative impact extends to enhancing patient outcomes, streamlining care delivery, and furthering our mission of delivering top-tier healthcare services at optimal value. We are seeking a Nurse Navigator who embodies adaptability and agility, embracing change and uncertainty as catalysts for personal and professional development. With resilience and flexibility, the Nurse Navigator adeptly navigates the ever-evolving healthcare landscape, harnessing technological advancements, and aligning with organizational objectives to drive innovation and foster continuous improvement. Key Responsibilities Patient Advocacy: Serve as a primary point of contact and advocate for patients navigating the healthcare system remotely. Care Coordination: Collaborate with healthcare providers, specialists, and other stakeholders to coordinate patient care effectively. Communication: Maintain clear and timely communication with patients, caregivers, and healthcare professionals via phone, email, and teleconferencing platforms. Documentation: Ensure accurate and thorough documentation of patient interactions and their plan of care in our proprietary app. Resource Referral: Facilitate referrals to preferred providers, community resources, and additional healthcare services as needed. Compliance: Adhere to all relevant healthcare regulations, policies, and protocols, ensuring compliance with HIPAA and other privacy laws. Professional Development: Stay updated on current healthcare trends, best practices, and evidence-based guidelines through ongoing education and training. Qualifications Registered Nurse (RN) License: Active and unrestricted RN license in the state of Wisconsin. Clinical Experience: Minimum of 2 years of clinical experience in a healthcare setting, preferably in areas such as medical-surgical, primary care, or case management. Computer Proficiency: Proficiency in using electronic health record (EHR) systems, Microsoft Office Suite, and other relevant software applications. Passion for the Mission: Alignment with the mission, values, and goals of the startup. A genuine passion for making a positive impact in healthcare and improving patient outcomes is motivating and fosters dedication to the organization's mission. Communication Skills: Excellent verbal and written communication skills, with the ability to effectively interact with diverse patient populations and healthcare professionals. Critical Thinking: Strong critical thinking and problem-solving abilities, with the capacity to assess complex healthcare situations and find appropriate options for the patient based on their health plan. Empathy and Compassion: Demonstrated empathy, compassion, and sensitivity to patients' emotional and psychological needs. Time Management: Excellent organizational and time management skills, with the ability to prioritize tasks and manage multiple responsibilities efficiently. Entrepreneurial Spirit: A mindset that thrives on innovation, creativity, and risk-taking. Ability to think outside the box and contribute ideas to drive the growth and success of the startup. Resourcefulness: Ability to accomplish goals with limited resources and find creative solutions to overcome constraints. Making the most of available tools, technologies, and networks is essential. Collaborative Mindset: Willingness to work collaboratively with cross-functional teams, share knowledge, and contribute to a supportive and inclusive work culture. Collaboration and teamwork are vital for success in a startup setting. Fast Learner: Rapidly acquire new skills, knowledge, and industry insights to keep pace with the evolving needs of the startup. Being a quick learner enables individuals to adapt to changing requirements and contribute effectively to the team. Customer-Centric Approach: Commitment to understanding and meeting the needs of customers or end-users. Prioritizing customer satisfaction and feedback drives product improvement and business growth in a startup. Preferred Qualifications Bilingual Skills: Proficiency in multiple languages, particularly Spanish Previous Navigation Experience: Prior experience in patient navigation, care coordination, or case management roles is advantageous. Advanced Microsft Office Proficiency: The ability to create presentations and analyze data is a plus. Working Conditions This is a remote position, requiring a reliable internet connection and a quiet workspace conducive to telecommuting. Flexible work hours may be necessary to accommodate patient needs and schedule variations. Some travel and on-site meetings are required Benefits Competitive salary Membership to a Direct Primary Care practice of your choice Healthcare stipend Dental & FSA benefit options Opportunity for professional growth and advancement within a rapidly growing startup. A collaborative and supportive work environment with a focus on innovation and creativity. Join us in our mission to transform healthcare and make a positive impact on the lives of businesses and individuals in Wisconsin. If you're passionate about patients, healthcare, and driving meaningful change, we want to hear from you! Apply now to join our dynamic team. Self Fund Health is an equal opportunity employer. Note: This job description is intended to convey information essential to understanding the scope of the position and is not an exhaustive list of skills, efforts, duties, responsibilities, or working conditions associated with it. Responsibilities may be subject to change based on organizational needs and the evolution of the healthcare landscape. Self Fund Health is an equal opportunity employer. $80,000 - $97,000 per year HealthX Ventures